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A prolonged deficiency leads, in the worst case, to lethal anemia, irreparable nerve damage, severe paralysis, chronic pain, severe mental and psychological symptoms and a complete lack of energy

That does not include the revenue lost when denied PAs lead to canceled procedures or abandoned treatments

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Potential Side Effects and Precautions While methylcobalamin injection is generally considered safe, some people might experience minor side effects, such as: Pain or redness at the injection site Mild diarrhea Headache or nausea Rare allergic reactions In patients with kidney issues or those on certain medications, methylcobalamin must be used cautiously